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Understanding One-year Mortality Rates and Comorbidity Burden in Older Adults Following Hip Fracture
Chris Sun1,2, Eric R Tecce1, Kimberly Dong1
1Rothman Orthopedic Institute, Philadelphia, Pennsylvania.
Orthopedics
|July 7, 2026
Summary
Hip fractures lead to significant mortality in older adults, with about 12% dying within one year. This study highlights the impact of age, sex, and comorbidities on hip fracture survival rates.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Public Health
Background:
- Hip fractures are a major cause of morbidity and mortality in older adults.
- Global healthcare systems face substantial burdens due to hip fractures.
- 1-year mortality rates after hip fracture are high and variable.
Purpose of the Study:
- To evaluate 1-year mortality rates in older adults following hip fractures.
- To assess the effectiveness of contemporary orthogeriatric care strategies.
- To improve shared decision-making in hip fracture treatment.
Main Methods:
- Retrospective cohort study using the TriNetX Research Network.
- Inclusion of patients aged 65-90 with incident hip fractures.
- Calculation of 1-year all-cause mortality and Kaplan-Meier survival estimates.
Main Results:
- 1-year mortality rate was 11.6% among 197,222 patients.
- Mortality increased with age and was higher in men.
- Higher baseline comorbidity burden was observed in patients with 1-year mortality.
Conclusions:
- Approximately 12% of patients die within one year of a hip fracture.
- Multidisciplinary orthogeriatric models and postoperative care require continued optimization.
- Further improvements in outcomes and survival are achievable.
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